Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $24.55 / $97.72	Facility		$10.00	$24.55	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $15.14	Professional		$7.94	$10.00	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.96 / $30.90	Facility		$5.75	$10.96	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.76 / $10.00	Professional		$5.89	$7.76	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $15.14 / $38.90	Facility		$8.51	$15.14	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.79 / $21.88	Professional		$8.71	$14.79	$21.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $12.88 / $20.89	Professional		$0.15	$12.88	$20.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.13 / $30.20	Facility		$4.47	$8.13	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $16.60	Professional		$5.37	$7.76	$16.60